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Individual

MICHAEL VERNERIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45396
MN
2080P0207X
Pediatric Hematology & Oncology Physician
45396
MN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
DR.0057740
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1032882
PREFERREDONE
MN
05
10387
ND
01
143505
UCARE
MN
01
1754307
ARAZ
MN
05
34306400
WI
01
36-00315
MEDICA - CHOICE
MN
01
484A7VE
BLUE CROSS BLUE SHIELD
MN
05
7777470
SD
05
784405100
MN
01
HP40599
HEALTHPARTNERS
MN
Enumeration date
09/25/2006
Last updated
12/05/2018
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